How much rates vary
Facilitymedian $4,365 · 10th to 90th $1,288 to $8,913Professionalmedian $977 · 10th to 90th $692 to $1,660
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $1,479.11 Median $3,715.35 Typical High $10,715.19 | Facility | None | $1,479.11 | $3,715.35 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $851.14 Typical High $1,122.02 | Professional | None | $676.08 | $851.14 | $1,122.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,715.35 Median $5,248.07 Typical High $9,332.54 | Facility | None | $3,715.35 | $5,248.07 | $9,332.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $794.33 Median $1,096.48 Typical High $1,905.46 | Professional | None | $794.33 | $1,096.48 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,659.59 Typical High $2,691.53 | Facility | None | $691.83 | $1,659.59 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $870.96 Typical High $1,258.93 | Professional | None | $691.83 | $870.96 | $1,258.93 |
Denver HMP Setting Facility Modifier None Typical Low $691.83 Median $977.24 Typical High $1,288.25 | Facility | None | $691.83 | $977.24 | $1,288.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $645.65 Median $1,047.13 Typical High $1,548.82 | Professional | None | $645.65 | $1,047.13 | $1,548.82 |
Select Health Setting Facility Modifier None Typical Low $912.01 Median $1,659.59 Typical High $1,905.46 | Facility | None | $912.01 | $1,659.59 | $1,905.46 |
Select Health Setting Professional Modifier None Typical Low $426.58 Median $758.58 Typical High $912.01 | Professional | None | $426.58 | $758.58 | $912.01 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,511.89 Typical High $7,585.78 | Facility | None | $1,288.25 | $2,511.89 | $7,585.78 |
United Setting Professional Modifier None Typical Low $724.44 Median $954.99 Typical High $1,548.82 | Professional | None | $724.44 | $954.99 | $1,548.82 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $338.84 Median $380.19 Typical High $436.52 | Professional | 52 · Reduced service | $338.84 | $380.19 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $151.36 Typical High $173.78 | Professional | 53 · Discontinued | $134.90 | $151.36 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $562.34 Typical High $645.65 | Professional | 54 · Surgery only | $501.19 | $562.34 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $112.20 Typical High $128.82 | Professional | 55 · Aftercare only | $102.33 | $112.20 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $75.86 Typical High $87.10 | Professional | 56 · Pre-op care only | $67.61 | $75.86 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $524.81 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $467.74 | $524.81 | $602.56 |
Where Colorado sits
The same service costs 3.1 times more in Alaska than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Physician feeFacility fee
AK $5,990MD $1,938
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.